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Myers’ PSYCHOLOGY

(7th Ed)

Chapter 16

Psychological Disorders

James A. McCubbin, PhDClemson University

Worth Publishers

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Psychological Disorders

Psychological Disordera “harmful dysfunction” in which behavior is judged to be:atypical--not enough in itselfdisturbing--varies with time and culture

maladaptive--harmfulunjustifiable--sometimes there’s a good reason

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Historical Perspective Perceived Causes

movements of sun or moon lunacy--full moon

evil spirits Ancient Treatments

exorcism, caged like animals, beaten, burned, castrated, mutilated, blood replaced with animal’s blood

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Psychological Disorders

Medical Model concept that diseases have physical causes can be diagnosed, treated, and in most

cases, cured assumes that these “mental” illnesses can

be diagnosed on the basis of their symptoms and cured through therapy, which may include treatment in a psychiatric hospital

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Psychological Disorders

Bio-Psycho-Social Perspectiveassumes that biological, sociocultural, and psychological factors combine and interact to produce psychological disorders

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Psychological Disorders

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Psychological Disorders--Etiology

DSM-IV American Psychiatric Association’s

Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition)

a widely used system for classifying psychological disorders

presently distributed as DSM-IV-TR (text revision)

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Psychological Disorders- Etiology

Neurotic Disorder (term seldom used now) usually distressing but that allows

one to think rationally and function socially

Psychotic Disorder person loses contact with reality experiences irrational ideas and

distorted perceptions

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Anxiety Disorders

Anxiety Disorders distressing, persistent anxiety or

maladaptive behaviors that reduce anxiety

Generalized Anxiety Disorder person is tense, apprehensive, and

in a state of autonomic nervous system arousal

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Anxiety Disorders

Panic Disorder marked by a minutes-long episode

of intense dread in which a person experiences terror and accompanying chest pain, choking, or other frightening sensation

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Anxiety Disorders

Phobia persistent, irrational fear of a specific

object or situation Obsessive-Compulsive Disorder

unwanted repetitive thoughts (obsessions) and/or actions (compulsions)

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Anxiety Disorders Common and uncommon fears

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Anxiety Disorders

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Anxiety Disorders

PET Scan of brain of person with Obsessive/ Compulsive disorder

High metabolic activity (red) in frontal lobe areas involved with directing attention

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Mood Disorders

Mood Disorders characterized by emotional

extremes Major Depressive Disorder

a mood disorder in which a person, for no apparent reason, experiences two or more weeks of depressed moods, feelings of worthlessness, and diminished interest or pleasure in most activities

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Mood Disorders

Manic Episode a mood disorder marked by a

hyperactive, wildly optimistic state Bipolar Disorder

a mood disorder in which the person alternates between the hopelessness and lethargy of depression and the overexcited state of mania

formerly called manic-depressive disorder

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Mood Disorders-Depression

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Mood Disorders-Depression

Canadian depression rates

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Mood Disorders- Suicide

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Mood Disorders-Bipolar

PET scans show that brain energy consumption rises and falls with emotional switches

Depressed state Manic state Depressed state

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Mood Disorders-Depression

Altering any one component of the chemistry-cognition-mood circuit can alter the others

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Mood Disorders-Depression

The vicious cycle of depression can be broken at any point

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Dissociative Disorders

Dissociative Disorders conscious awareness becomes separated

(dissociated) from previous memories, thoughts, and feelings

Dissociative Identity Disorder rare dissociative disorder in which a

person exhibits two or more distinct and alternating personalities

formerly called multiple personality disorder

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Schizophrenia

Schizophrenia literal translation “split mind” a group of severe disorders

characterized by: disorganized and delusional thinking disturbed perceptions inappropriate emotions and actions

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Schizophrenia

Delusions false beliefs, often of persecution

or grandeur, that may accompany psychotic disorders

Hallucinations sensory experiences without

sensory stimulation

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Schizophrenia

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Schizophrenia

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Schizophrenia

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Schizophrenia

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Personality Disorders

Personality Disorders disorders characterized by

inflexible and enduring behavior patterns that impair social functioning

usually without anxiety, depression, or delusions

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Personality Disorders

Antisocial Personality Disorder disorder in which the person

(usually man) exhibits a lack of conscience for wrongdoing, even toward friends and family members

may be aggressive and ruthless or a clever con artist

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Mood Disorders-Depression

Boys who were later convicted of a crime showed relatively low arousal

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Personality Disorders PET scans illustrate reduced activation in a

murderer’s frontal cortexNormal Murderer

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Personality Disorders

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Rates of Psychological Disorders